hmmm, sorry, if she is denying, not sure...denies problems 'with' might fit...
Posted By: MTness on 2005-11-02
In Reply to: deglutition? - MTness
Subject: hmmm, sorry, if she is denying, not sure...denies problems 'with' might fit...
perhaps it is not connected to the lap cholecystectomy?
anyone else?
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It'll get better, really! Think you just might need 'with' instead of livid in there as a c
Subject: It'll get better, really! Think you just might need 'with' instead of livid in there as a color or
s
Missed 'with', good call! Thx. nm
Subject: Missed 'with', good call! Thx. nm
,,
He denies any IV or s/l *deo* drug use. Thanks! sm
Subject: He denies any IV or s/l *deo* drug use. Thanks! sm
Denies vertigo?
Subject: Denies vertigo?
I think "denies" would be the middle word I'm missing, but I'm still clueless about the last term. I don't even know how to describe it. Thanks for your help, though.
Maybe saying denies any PND which is postnasal drainage.
Subject: Maybe saying denies any PND which is postnasal drainage.
Help....doc says "He denies any headaches...
Subject: Help....doc says "He denies any headaches...
change in vision, genital "s/l troma"..(not trauma) and does not have morning erections.
we did not do an s/l ep-ler test as she denies any daytime somnolence. nm
Subject: we did not do an s/l ep-ler test as she denies any daytime somnolence. nm
ENT doctor...ep-ler or upward test? what am I supposed to hear. Thanks.
s/l GENITOURINARY: Denies >_______urinary habits
Subject: s/l GENITOURINARY: Denies >_______urinary habits
GENITOURINARY: Denies s/l temulin urinary habits
patient denies s/l accumplates, see message
Subject: patient denies s/l accumplates, see message
The patient denies any fevers, chills, night sweats, weight loss, hemoptysis, pleuritic chest pain, nausea, synovitis, arthralgia, skin rash, s/l accumplates, headaches or sinus pain.
This is throwing me for a loop!
H&P, GU sytem, Patient denies any kps tenderness
Subject: H&P, GU sytem, Patient denies any kps tenderness
ESL doctor dictating the genetourinary system exam on a female. Patient denies any (GPS, KPS??) tenderness. Thank you for your help in advance.! Bad day. Computer hard drive went. Working on old machine. Yikes.
pt with GI issues. Denies S/L melan matakesia weightloss
Subject: pt with GI issues. Denies S/L melan matakesia weightloss
Hematologic: She denies s/l hemalin or easy bruising. thank u
Subject: Hematologic: She denies s/l hemalin or easy bruising. thank u
s/l patient denies history of *metachezia* or melena??? nm
Subject: s/l patient denies history of *metachezia* or melena??? nm
nm
Denies lateral s/l eye flaps to touch or pinprick
Subject: Denies lateral s/l eye flaps to touch or pinprick
Under neurological....
Denies lateral s/l eye flaps to touch or pinprick
social history - denies smoking, alcohol or girls. sm
Subject: social history - denies smoking, alcohol or girls. sm
I can't think of anything else he might be saying, it really sounds like girls. Do you think this is correct? I just think it sounds weird.
BTW the only medical history I have for this patient is Ewing sarcoma...
The doc dictates under ROS, GU: The patient denies issues with polyuria POLYPHASIA, or polydipsia..
Subject: The doc dictates under ROS, GU: The patient denies issues with polyuria POLYPHASIA, or polydipsia..
is this correct? POLYPHASIA???? Isn't POLYPHAGIA having to do with eating/swallowing? I can't find anything in google relating to urination or GU system.....
 Thanks in advance!!
Patient had lap cholecystectomy. Denies "diet-ation" at current time. ??
Subject: Patient had lap cholecystectomy. Denies "diet-ation" at current time. ??
No other details, sounds like "diet -ation" ?
Any ideas?
patient pregnant with concomitant hemoglobinopathy denies *tagophasia nor does she have a history-sm
Subject: patient pregnant with concomitant hemoglobinopathy denies *tagophasia nor does she have a history-sm
of bleeding??? Thanks.
He denies any nausea, vomiting, fever, chills and no recent s/l interim.
Subject: He denies any nausea, vomiting, fever, chills and no recent s/l interim.
n/t
Help -- Patient denies double vision, abdominal pain or ???distortia??
Subject: Help -- Patient denies double vision, abdominal pain or ???distortia??
She has a grayish, frothy discharge that is KOH ____ test positive. S/l 'with' test positive?
Subject: She has a grayish, frothy discharge that is KOH ____ test positive. S/l 'with' test positive? nm
..
Hmmm...could be. Probably is.
Subject: Hmmm...could be. Probably is.
Lactic acid level was 1.1
hmmm...a.c.? nm
Subject: hmmm...a.c.? nm
s
hmmm, not sure, but thanks for trying!
Subject: hmmm, not sure, but thanks for trying!
:)
Hmmm.
Subject: Hmmm.
The only other meds I can think of that sound anywhere near that are Meclomen and Motrin.
Hmmm...
Subject: Hmmm...
I googled and there is a HTAB LA for bronchospasms.
hmmm - can't think of anything :( NM
Subject: hmmm - can't think of anything :( NM
Hmmm.... maybe
Subject: Hmmm.... maybe
Maybe inguinal hernia, TRUS (transrectal ultrasonography) or TRUSP (transrectal ultrasonography of the prostate) ??
Hmmm -- I am not sure ..... sm
Subject: Hmmm -- I am not sure ..... sm
I am familiar with Venturi, grommet, Paparella. I can't find anything close to sounding like "dutcher".
hmmm, if it is EGD, then the
Subject: hmmm, if it is EGD, then the
whole word is esophagogastroduodenoscopy (scope of the esophagus, stomach, and duodenum). Do ya think that's it?
Hmmm
Subject: Hmmm
I think this must be it. The patient is a 72 yo in the ER with diarrhea so I have no clues as to her past medical history. Ugggh, hate it when docs spell also.
Thanks to both of you.
hmmm
Subject: hmmm
Thank you for you honesty and encouragement.
hmmm
Subject: hmmm
Not saying Valcyte by any chance?
hmmm
Subject: hmmm
nope he isnt ESL, but he does shmoosh his words together sometimes. I will relisten to it and see if that it what he says. Thanks.
hmmm
Subject: hmmm
Did you mean: levoxyl ?
I guess I'll just leave Levoxyl alone.
Thanks :)
Hmmm
Subject: Hmmm
PENT ICCP
could it be anti-CCP?
P(ENT I)CCP
But that would still leave the P to be determined. I also would like to know if he spelled PENT or if he said it.
hmmm...
Subject: hmmm...
That makes sense b/c of the renal failure... i'm thinking the doc is misspeaking... i clearly hear the PLEX part... i think i'll be leaving that one blank ;)
Thanks!! :)
hmmm....sm
Subject: hmmm....sm
I can only come up with some wild guesses at the moment, such as:
get formolent = ___ for a minute
OR
get formolent = get 4 ____
as in "the wound bed was allowed to ___ for a minute to control some bleeding" or "the wound bed was allowed to get 4 ____ to control some bleeding"
I wish I could be more help...
hmmm...
Subject: hmmm...
Could he/she be saying: Appendectomy, "apparently" 3 D&Cs, tonsillectomy. It doesn't really make sense with the parentheses, makes it sound like the patient had 3 D&Cs at the time of the appendectomy.
hmmm...
Subject: hmmm...
The only thing that comes to mind is that he is possibly saying "OC", meaning oral contraceptive. I'd have to blank him if that's not what he says. 
Hmmm....ridges? Got me...nm
Subject: Hmmm....ridges? Got me...nm
s
Hmmm..maybe serpiginous SM
Subject: Hmmm..maybe serpiginous SM
Don't know if it fits...sorta sounds like it.
serpiginous
Creeping; denoting an ulcer or other cutaneous lesion that extends with an arciform border; the margin has a wavy or serpent-like border.
hmmm...maybe "pathogenic"...nm
Subject: hmmm...maybe "pathogenic"...nm
nm
Hmmm....autism? nm
Subject: Hmmm....autism? nm
s
hmmm - see reply
Subject: hmmm - see reply
Actually after listening to that one at least 50 times, I could get nothing else from it. A Cobb can be a retractor or elevator. In this case, it was used to scrape vertebrae...I did find micro-Cobb. But it really didn't sound a bit like that. Macoa or Mikoa perhaps, but I tried every spelling I could think of. Oh well...it's a mystery, and the report went to proofing, but it left me curious. Thanks!
Hmmm, I can think of a number of
Subject: Hmmm, I can think of a number of
things, but nothing like your s/l. Usually the doctor will address any occupational exposure such as asbestos or silica, noxious fumes, etc. which may be encountered in a factory or manufacturing environment. Could you maybe tweak your s/l a little?
hmmm...can't tell if he is sayin that or not
Subject: hmmm...can't tell if he is sayin that or not
because it sounds more like 'kite'. I will blank it. Thanks.
Hmmm.would rheumatic fit here?
Subject: Hmmm.would rheumatic fit here?
Hmmm. that looks promising..
Subject: Hmmm. that looks promising..
Here's the complete phrase:
Follow-up appointment for an excision of a fistula and an A and O x 2. (in a 6 month old)
hmmm, was that meant for my post??
Subject: hmmm, was that meant for my post??
Not sure, Harsh attitude meant for me?? I don't see any anon posts either?? All seem to have a name/initial. The written word gets lost in translation, can't possibly know what is really meant, no inflection heard. Glad you asked though. Perhaps it is how you are reading the posts, ya think? My post was meant just like I said, if somebody wants it in a certain way that is the way you do it. You don't argue and trying to "be right" If you go searching to get an okay to do it another way, thid will only create problems for you. You need to think on it.
.
hmmm, could be. Pt had non Hodgkin's lymphoma.
Subject: hmmm, could be. Pt had non Hodgkin's lymphoma.
definitely sounded like a "tica" at the end though. we will see if the QA gives me the heads up.
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